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PAF4319
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PAF4319
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Entry Properties
Last modified
1/26/2009 5:38:40 PM
Creation date
12/31/2008 9:59:12 AM
Metadata
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Template:
PW_Capital
PW_Document_Type_Capital
Project Authorization
PW_Active
Yes
External_View
No
GJN
004319
GL_Project_Number
374319
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. _ ~ ~ <br /> PROJECT AUTHORIZATION FORM Engineering <br /> Public Works <br /> City of Eugene <br /> 858 Pearl <br /> L <br /> Eugene, OR 97401 <br /> a /a ~ ~ (541) 682-5291 <br /> Service ID: 1 SID_ PB GL JC JE <br /> Project title: C.~~~~"~ ~~~-GL- S~ d~!""1 <br /> (location an ork description) <br /> 'Y ~ ~ G{~` <br /> ~ Vii'-~'.~' <br /> fsa'" ' ~ i` <br /> Project manager /contact /private engineer:~_~,~ ir'P~ r-~ <br /> PROJECT SCOPE: <br /> Paving: / Bike lanes /paths: <br /> (widths) (width) <br /> Concrete walks: Setback /Curbside <br /> 1 (length) (width) f j <br /> Wastewater ~ Stormwater ~ ~ Landscaping <br /> Signal Street lights ~ .ROW required <br /> <br /> E New building construction Planning, other Remodel <br /> FUNDING SOURCES: <br /> City Assessments Private Other department <br /> Account code <br /> Fed /State /County /FAA fixed) <br /> COMMENTS /SPECIAL PROJECT INFO. /INTERDEPARTMENTAL WORK DESCRIPTION: <br /> ~X~VIS~bVt ~ ~J'i?~~ ~ C~1,~e. ~"~rr~ ~~,aG-~.. ~~fir-ee-t~ <br /> ` <br /> i <br /> i <br /> APPROVED: ` <br /> Project Manager Date - <br /> Principal Engineer ~ Date ~ <br /> Facilities Manager e, Date <br /> I City Engineer, ~ Date ~ ~ <br /> ppFOR(~~ USE BY ADMINISTRATION ONLY <br /> i ~`-i~~ `I ~8 ~i <br /> Capital Project No. ACK ~ ~ ~ ~ -t <br /> _ <br /> GLTitle ~ ~ C~~l <br /> Assigne y Date <br /> Accounting by _ Date <br /> ATTACHMENTS: <br /> ? Budget Estimate ? Developer Agreement ? Engineer's Report On Improvement Petition <br /> ? SDC Budget Worksheet "Engineering Agreement ? Engineering Service Work Request <br /> ? City Engineer's Initiating Order ~3Public Improvement Permit Application ? Map <br /> ~ile Request Form <br /> ENG 415 WHITE /Finance .YELLOW /Administration File PINK /Engineering File GOLDENROD /Project Manager FEBRUARY2002 <br /> i <br /> <br />
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